HomeMy WebLinkAbout0156193-Plumbing (laterals) � CITY OF OSHKOSH No 156193
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3778 GLENSHIRE LN Owner WISCONSIN MHP 6 LLC Create Date 06/14/2013
Contractor ABSOLUTE PLUMBING OF WISCONSIN Category 401 -Residential-Exterior(laterals) Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ VaNe 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 ;
Water Heater 0
Use/Nature MOBILE HOME/Run sewer and water laterals to house.
of Work
'*'check#2645****
� �
Size Material Type # Conn.Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service 3/4" Plastic Lateral 1 New
Parcel Id#
1278400000
Valuation $500.00 Plan Approval $0.00 Permit Fees $100.00 ❑ Permit Voided I
Issued By �T�ij/I Date 06/14/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address N1473 ELLEN LANE GREENVILLE WI 54942 -9602 Telephone Number 920-757-7222
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specifed otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
c�ry ofo��r► RECEIVED
Inspe�tion Services Division . �
P O Box 1130 /�/g /f�3���j1�� .�� �
Oshkosh,WI 54903-1130 �� ��'� � �
Phone:��o���-soso JUN 13 2013 :
Fax:(920)236-5084
Plumbin Permit A '� DEpTY E ECPP�IE�'��tivwTEa
9 PP ,N°4�!��;5���'10E5 DI\'ISIOV
I hereby apply for a pennit w do and install the following plumbing on the premises heaeinafter descn'bed,d�e work to c:onform to the '.
Wisconsin State Plmnbing Code,in the paf�na�ce of whidt all parties herao�agree ta and are boand by satd s�tuGes. '
• Application(s)a�fee(s)can be bruught to City Hail,Ro�205 a mailcd W Inspection S�vices,PO Box 1128,Oshkosh WI
54903-1128. Commencing work without permit(s)will result in fces being doubled or 5100:00 plus tht nomnal permit fee,which
ever is greater.
OR
J,�vov are a cvntractor articiaatin� in the Pernrit Fee Account Svstem and bave adeQ r�{�j'rtnd�- ����� h�r¢
i f vou want tbis nrocetsed throsQh vour account (—I
'"*Aa.►�so:y-For�plicsa,u r�ru3octs,aa S�d�l I�anatton v�oa cEIV)f�,�ga�br ax F�u�iwl
Connacoar ar Hameowner(fm i�lations allowed to be perfomred by the hoa�eow�dr)most be sabmitted
with the ptmrit applicatTion. Applicatiimos submitted withoat an EIV when sach is nqnir�ed,w�l not be
proaessed fior Penmit Issnanoe aad w�l be�d fioz aompletion. '
, �
Job Address37������ Valne(v���m,a���� . Date� �� �'�
_ �er (ic�/��;19��N1'1'�f'�!`?�GL� Contractor � /�7�/t.�� �
S'mgle Family ODnplea �1Vlalti-Famitq [i]Rental QCommerc�l ❑Indnstrial
Number of FSztnres:
s� s�� r�s� x�n�,
sno� s.p.s�rn� spa�«y s� soaa rx�
wn;ripoo� watc soaenc savioe smic coffee Micr
Lavatory Standpipe Rec Shamp Sedc Site tkam
Toilet C�srage FD Swgeas Sink Waitrs Stn
Kit Sink Local Wasee Stail'rar lae Clxst
Disposai Bar Sink RPZ Vatv�e Canm ke Maker
� Breatrm Siot Bidet 1at C�Trap
Floor Drain C7a�.vm Sink Urinal Ext Gmesse Trap
Hose Bbb F�cam Sinic Bar Tap Eye Wa�Sm
Waw Heeta F�P S� �PPa Wdl De�Ct Meoa
❑c,.s o�c o r�v�c Fto�s:� n�t r� wa s�a�
aoa,�w� xm,a s� was�F� wtr us�c Mr�
I�Y TnY Isb Siok Ca6�h B�sie Mnc Fixaaes
Electric Contractor(for projects not reqniring an EIV Form)
Use/Natare of Work r �"'����/� /'� /Y�Dl�G� �L���
Size Mate�ial Type # Conn_Type
Sanitary Sewer � / �'�
Storm Sewer
Water Service 3� �`���'G
06/09